Patel, Mitulkumar P

Patel, Mitulkumar P is an individual health care provider with primary practice located at 4880 Wynn Rd , Las Vegas NV 89103-5406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patel, Mitulkumar P can be contacted via phone (702) 871-5005.

Contact Information

Primary practice address
4880 Wynn Rd Las Vegas NV 89103-5406
Phone: (702) 871-5005
Fax: (702) 671-6883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10855 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G74858 California

Profile Details

NPI number 1093701674
LBN Legal business name Patel, Mitulkumar P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093701674 NPPES
Nevada MEDICAID 100507193
Nevada Other CS12512
Nevada Other 10855

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